Shift Analysis On The Community

1340 Words6 Pages
Shift-to-Shift Handoff Report Caring for a large number of patients in hospitals daily can result in up to four shift changes in 24 hours and potential opportunities for miscommunication resulting in errors and adverse events. These preventable errors can lead to deaths, chronic illnesses, injuries, disabilities and a huge financial burden on individuals and healthcare systems. Literature from several countries indicates that almost 60- 70% of adverse events in hospitals are caused by breakdown of communication including those happening during shift-to-shift handoff reports. Over the past fifteen years, there has been an abundance of research related to handoffs so is there a best practice for shift-to-shift handoff report? Perspectives of the multidisciplinary healthcare providers and patients are fundamental in considering the multiplicity of viewpoints around evidence-based practices for the clinical change of shift report. This paper will focus on handoffs issues, opportunities, barriers and potential for error resulting from miscommunication during shift change. Identifying the handoff practices currently in use will demonstrate the endeavor to examine options and recommend approaches for the future. Diverse forms of handoffs at different occasions for a large group of physicians, medical residents, nurses, allied health professionals and student clinicians from different disciplines have created inconsistencies. Besides, the bedside shift report has impacted patient and family satisfaction with the continuum of care. Examining a number of models, protocols, tools, standards and trends concerning patient-centered handoffs will highlight implications for the best practice. Recommendation for safer and more effec... ... middle of paper ... ... of tools for organizing information transmission during handoffs such as SBAR, ISHAPE, 5Ps, I Pass the Baton (presentation of clinical problems and strategies to address each problem). SBAR (situation-background-assessment-recommendation) is a widespread and well-known handoff model in many countries that is based on stating facts and streamlining report significantly (Appendix 1). It provides a protocol for communication between the clinicians and patients when handoffs are conducted at the bedside. SBAR is a simple mechanism and easy to remember to guide a quick conversation during handovers. The main intention from SBAR is an easy way to relay information and set expectations. There should be an early warning system that establishes mechanism to escalate concerns when clinical deterioration or increase complexity arises (Ofori-Atta, Binienda & Chalupka, 2015).
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